Evidence map›Paper›PMID 31220605›Full record

ArticleAnaerobe2019

Misoprostol protects mice against severe Clostridium difficile infection and promotes recovery of the gut microbiota after antibiotic perturbation.

Joseph P Zackular, Leslie Kirk, Bruno C Trindade, Eric P Skaar, David M Aronoff

Open access · greenAbstract read
In one paragraph

Article in Anaerobe, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Pharmacological reduction of neutrophil infiltration reducesbioRxiv : the preprint server for biology · 2025
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  7. Mechanisms ofFrontiers in cellular and infection microbiology · 2025
    Review
  8. Article
  9. The Urgent Threat ofBiomedicines · 2023
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Joseph P ZackularDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, United States; Division of Protective Immunity, Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, United States; Institute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Leslie KirkDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Bruno C TrindadeDepartment of Pathology, University of Massachusetts Medical School, Worcester, MA, USA.
Eric P SkaarDepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, United States.
David M AronoffDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, United States. Electronic address: d.aronoff@vumc.org.
Vanderbilt University Medical Center · USChildren's Hospital of Philadelphia · USUniversity of Massachusetts Chan Medical School · US

Funding

Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Repurposing misoprostol for Clostridium difficile colitis as identified by PheWASR21TR001723 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ARONOFF, DAVID M · 2016 to 2017
$632k
Prostaglandins as protective mediators in Clostridium difficile infectionR21AI121796 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ARONOFF, DAVID M · 2016 to 2017
$435k
The Impact of Vancomycin-Resistant Entercoccus on Clostridium difficile InfectionK22AI137220 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI ZACKULAR, JOSEPH PAUL · 2019 to 2020
$270k
The impact of dietary metals on the gut microbiome and Clostridium difficile infectionF32AI120553 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ZACKULAR, JOSEPH PAUL · 2015 to 2017
$109k
NCATS NIH HHS R21 TR001723NIAID NIH HHS F32 AI120553NIAID NIH HHS K22 AI137220NIAID NIH HHS R21 AI121796NIDDK NIH HHS P30 DK058404
6 · The paper itself

Abstract

Clostridium difficile infection (CDI) is one of the most common nosocomial infections worldwide and an urgent public health threat. Epidemiological and experimental studies have demonstrated an association between nonsteroidal anti-inflammatory drug (NSAID) exposure and enhanced susceptibility to, and severity of, CDI. NSAIDs target cyclooxygenase enzymes and inhibit the production of prostaglandins (PGs), but the therapeutic potential of exogenous introduction of PGs for the treatment of CDI has not been explored. In this study, we report that treatment with the FDA-approved stable PGE

Indexed as

AnimalsClostridioides difficileClostridium InfectionsDisease Models, AnimalFemaleGastrointestinal AgentsGastrointestinal MicrobiomeMaleMice, Inbred C57BLMisoprostolProstaglandins E, SyntheticSurvival AnalysisTreatment OutcomeGastrointestinal AgentsMisoprostolProstaglandins E, SyntheticClinical pharmacologyColitisMicrobiomeNSAIDsProstaglandins

Identifiers

PMID31220605
PMCPMC6697607
OpenAlexW2952252976

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.